Organization
BETWEEN THE LAKES SLEEP AND AIRWAY CENTER LLC
Active
Other names
Between the Lakes Sleep and Airway Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE ANNIE WALLANDER DMD (DENTIST)
(920) 740-3427
Entity
Organization
Contact information
Practice address
1250 TECKLA PL, KIEL, WI 53042-9623
(920) 894-2305
Mailing address
961 RIVER MEADOW DR, KIEL, WI 53042-4851
(920) 740-3427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/05/2023
Last updated
06/25/2023
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